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1316528433
MICHAEL JOHN LIZZA
CHARLESTON, WV
NPI
1316528433
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-20
Last Update Date
2021-04-20
Business Address
MICHAEL JOHN LIZZA DO
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304-1227
Phone number: 304-388-5432
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Mailing Address
MICHAEL JOHN LIZZA DO
3200 MACCORKLE AVE SE, RM 5111
CHARLESTON, WV 25304
Phone number: 304-388-1020
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